CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Reading Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,749
Cash Discount Price: $3,061
vs. Medicare Baseline: 9.76x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Reading Hospital is $1,749. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,061. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.76x the Medicare baseline. Located in 420 S 5Th Avenue, West Reading, PA.

Cash / Self-Pay

$3,061

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,749

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $3,061 (1708%)

Insurance Median: $1,749 (976%)

Cash: $3,061 (1708% of Medicare)

Ins. Median: $1,749 (976% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 976% of the Medicare baseline (a markup of 876%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Upmc	$88 - $2,362	49%
Geisinger	$96 - $2,769	54%
Keystone First	$96	54%
Pa Health & Wellness	$100	56%
UnitedHealthcare	$100 - $1,313	56%
Amerihealth Caritas	$102	57%
Gateway	$102	57%
Health Partners	$102	57%
Wernersville State Hospital	$104	58%
Blue Cross Blue Shield	$147 - $1,734	82%
Aetna	$200 - $3,017	112%
Pma	$1,749	976%
Lehigh Valley Health Network	$1,968	1098%
Cigna	$2,501	1396%
Berkshire	$3,280	1830%
First Health	$3,367	1879%
Blue Ridge	$4,154	2318%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,061.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Reading Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.